| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4011 |
State-specific procedure code |
1,058 |
1,044 |
$337K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,180 |
1,157 |
$283K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
274 |
268 |
$137K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
620 |
494 |
$98K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
186 |
178 |
$77K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,199 |
1,164 |
$42K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
294 |
287 |
$13K |
| 80053 |
Comprehensive metabolic panel |
36 |
36 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
18 |
12 |
$3K |
| 83655 |
|
48 |
46 |
$925.49 |
| 85018 |
|
58 |
58 |
$682.63 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
73 |
73 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 87428 |
|
54 |
50 |
$0.00 |